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nurse called yesterday and my progesterone level was .2 which means i didnt O. Everyday feels like a huge dissapointment and this could take years... how do you do it? I've barely started and it feels too hard. Not sure the OBGYN is doing enough. She put 3 appointments into 1 to save me money - gave me clomid 50mg for the 1st 2 cyles and 150mg for the following 2, and bloodwork forms for each cyle. It was my 1st ever OBGYN appt and i was there for less than 10 minutes. I appreciate her trying to save me $$$ but how about my sanity? We have insurance and money is not a concern. She just assumed this. Is anyone using a fertility clinic? I think it would be easier without so many questions and more guidance. Any suggestions?

Me(27)DH(28)TTC 9 months, on 1st round of clomid 50mg

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13 Replies |Watch This Discussion | Report This| Share this:didnt ovulatenurse called yesterday and my progesterone level was .2 which means i didnt O. Everyday feels like a huge dissapointment and this could take years... how do you do it? I've barely started and it feels too hard. Not sure the OBGYN is doing enough. She put 3 appointments into 1 to save me money - gave me clomid 50mg for the 1st 2 cyles and 150mg for the following 2, and bloodwork forms for each cyle. It was my 1st ever OBGYN appt and i was there for less than 10 minutes. I appreciate her trying to save me $$$ but how about my sanity? We have insurance and money is not a concern. She just assumed this. Is anyone using a fertility clinic? I think it would be easier without so many questions and more guidance. Any suggestions?

I can't afford a RE because it's not covered by my insurance, but I like my OB. But most women on here recommend an RE - they are more specialized in the area of infertility and have better suggestions, more knowledge and spend more time with you trying to find a solution. Will your OB let you try the 150mg next cycle instead of another 50 - because 50 didn't make you O?

Report This| Share this:didnt ovulateI can't afford a RE because it's not covered by my insurance, but I like my OB. But most women on here recommend an RE - they are more specialized in the area of infertility and have better suggestions, more knowledge and spend more time with you trying to find a solution. Will your OB let you try the 150mg next cycle instead of another 50 - because 50 didn't make you O?

Try to discuss with her may be she can try some other ovulation medication instead of clomid like Femara etc .also .in addition to it it may help if she evaluates other factors for not ovulating (may be like pcos etc).....if not you can directly walk in to fertility clinic...may be atleast they do more tests and suggest you if you need some other medications apart from ovulation med that may as well help ....

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Report This| Share this:didnt ovulateTry to discuss with her may be she can try some other ovulation medication instead of clomid like Femara etc .also .in addition to it it may help if she evaluates other factors for not ovulating (may be like pcos etc).....if not you can directly walk in to fertility clinic...may be atleast they do more tests and suggest you if you need some other medications apart from ovulation med that may as well help ....

If you are not satisfied with your current dr and you can afford an RE then I would suggest finding one or having your current d refer you. Depending on your insurance they may or may not cover it yet. With our insurance we had to have been ttc for at least one year before they would approve the RE.

Report This| Share this:didnt ovulateIf you are not satisfied with your current dr and you can afford an RE then I would suggest finding one or having your current d refer you. Depending on your insurance they may or may not cover it yet. With our insurance we had to have been ttc for at least one year before they would approve the RE.

Thanks Leah. It was actually 100mg for the following 2 cycles, not 150mg. The nurse just called back and i'm supposed to go ahead this next cycle and take 100mg. I am not known for my patience:[ You all seem so positive and strong on here. My mom laughed and said "i cant believe on of my daughters is having trouble getting pregnant" (ouch that hurt) She didnt mean it like that but it still hurt.It will happen when it's supposed to i guess.

Me(27)DH(28)TTC 9 months, on 1st round of clomid 50mg

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Report This| Share this:didnt ovulateThanks Leah. It was actually 100mg for the following 2 cycles, not 150mg. The nurse just called back and i'm supposed to go ahead this next cycle and take 100mg. I am not known for my patience:[ You all seem so positive and strong on here. My mom laughed and said "i cant believe on of my daughters is having trouble getting pregnant" (ouch that hurt) She didnt mean it like that but it still hurt.It will happen when it's supposed to i guess.

Insurance won't pick up the bill generally until you've been TTC for a year or more. However, in the meantime, I'd recommend finding a new OBGYN. Remember, this is also the doctor who will take care of you during pregnancy and your baby directly after birth. If you don't like them NOW, you won't want to trust them with that later!

That being said, I love my RE's office. Much more knowledge, more compassionate and understanding of the emotional side of TTC, more apt to go at MY pace instead of setting a pace for me, etc. My visits are covered by insurance after a referral by my doctor. I just have to pay a copay. Be patient. The gradual increase is what any doctor would recommend. Good luck this cycle!

Me 23, DH 25, TTC 2 years,BFP 10/4, MC 10/8, waiting to try again

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Report This| Share this:didnt ovulateInsurance won't pick up the bill generally until you've been TTC for a year or more. However, in the meantime, I'd recommend finding a new OBGYN. Remember, this is also the doctor who will take care of you during pregnancy and your baby directly after birth. If you don't like them NOW, you won't want to trust them with that later!

That being said, I love my RE's office. Much more knowledge, more compassionate and understanding of the emotional side of TTC, more apt to go at MY pace instead of setting a pace for me, etc. My visits are covered by insurance after a referral by my doctor. I just have to pay a copay. Be patient. The gradual increase is what any doctor would recommend. Good luck this cycle!

You are all so kind and helpful. Thank you for your responses. @ ntgps -they did test for pcos and I assume it came back negative because i never heard back. DH very kindly called for me and talked to the nurse about what we could do. He is the patient one! I will try to be patient.They said they could do an HSG? test, but the dr didnt think it was neseccary yet. It will be a year of TTC by jan. So i will be calm and carry on, and just wait for the ref to an RE or a BFP. Prayers and Baby Dust for all of you.

Me(27)DH(28)TTC 9 months, on 1st round of clomid 50mg

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Report This| Share this:didnt ovulateYou are all so kind and helpful. Thank you for your responses. @ ntgps -they did test for pcos and I assume it came back negative because i never heard back. DH very kindly called for me and talked to the nurse about what we could do. He is the patient one! I will try to be patient.They said they could do an HSG? test, but the dr didnt think it was neseccary yet. It will be a year of TTC by jan. So i will be calm and carry on, and just wait for the ref to an RE or a BFP. Prayers and Baby Dust for all of you.

Did they say why the HSG wasn't necessary? My OBGYN's office insists on having a semen analysis and HSG done before prescribing any medications. The HSG will tell you whether or not one or both of your tubes have any obstructions. Like my OB told me, if your tubes are blocked there's really no sense in inducing ovulation because the egg will never make it to your uterus anyway, and the sperm won't be able to travel where it needs to go either.

The other thing: there's no one test for PCOS, so I wonder what the doctor was checking? Generally it's diagnosed as a result of hormone imbalances, thyroid issues, drastic weight gain, discoloration of skin, unusual hair growth, etc. or any combination of those. Another telltale sign is doing an ultrasound and actually seeing cystic ovaries, though your ovaries don't necessarily have to have cysts on them for you to have PCOS.

Just throwing some information your way.

Me 23, DH 25, TTC 2 years,BFP 10/4, MC 10/8, waiting to try again

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Report This| Share this:didnt ovulateDid they say why the HSG wasn't necessary? My OBGYN's office insists on having a semen analysis and HSG done before prescribing any medications. The HSG will tell you whether or not one or both of your tubes have any obstructions. Like my OB told me, if your tubes are blocked there's really no sense in inducing ovulation because the egg will never make it to your uterus anyway, and the sperm won't be able to travel where it needs to go either.

The other thing: there's no one test for PCOS, so I wonder what the doctor was checking? Generally it's diagnosed as a result of hormone imbalances, thyroid issues, drastic weight gain, discoloration of skin, unusual hair growth, etc. or any combination of those. Another telltale sign is doing an ultrasound and actually seeing cystic ovaries, though your ovaries don't necessarily have to have cysts on them for you to have PCOS.

I agree with Mara. When we started trying the first two test my OB did was an HSG and seman analysis. If either of those tests are "off" then what is the point in trying meds to bring on Oing?

I would ask for both of those tests. They can give invaluable information to help maybe solve some issues that may be causing troubles. If they are okay, then you at least know your tubes aren't blocked and your husband's seman is good. It may just gives you a little bit more peace of mind.

Me(36), DH(37), TTC 23 months,IUI 9/28 (letrozole 5 mg), test 10/12

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Report This| Share this:didnt ovulateI agree with Mara. When we started trying the first two test my OB did was an HSG and seman analysis. If either of those tests are "off" then what is the point in trying meds to bring on Oing?

I would ask for both of those tests. They can give invaluable information to help maybe solve some issues that may be causing troubles. If they are okay, then you at least know your tubes aren't blocked and your husband's seman is good. It may just gives you a little bit more peace of mind.

As most of the women here said before giving any ovulation medication they should first test for HSG ....and also i personally feel that Ovulation medicines mostly makes us ovulate but there are many things that stop us from ovulating naturally and proper diagnosis along with medication will be added help.

Even with me it happened that When i ttc for 1 year and no BFP i went to OBGYN she just did cd21 progestrone test and though i am ovulating she used to give me O medicines to increase the chance of pregnancy..this went on for 6 months i got fed up with all these things and then i stepped into fertility clinic and they told me that unless they test for HSG they are going to give me any ovulation medicines.They did all the tests like HSG,Harmonal test,ovarian insulinresistance (may be this is what they call pcos one of the important factor for not ovulating ),semen analysis... and of course they did not tell me reason for infertility(i know there will be some unknown reason) but atleast i am happy that they did all these common test that my OBGYN did not do.

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Report This| Share this:didnt ovulateAs most of the women here said before giving any ovulation medication they should first test for HSG ....and also i personally feel that Ovulation medicines mostly makes us ovulate but there are many things that stop us from ovulating naturally and proper diagnosis along with medication will be added help.

Even with me it happened that When i ttc for 1 year and no BFP i went to OBGYN she just did cd21 progestrone test and though i am ovulating she used to give me O medicines to increase the chance of pregnancy..this went on for 6 months i got fed up with all these things and then i stepped into fertility clinic and they told me that unless they test for HSG they are going to give me any ovulation medicines.They did all the tests like HSG,Harmonal test,ovarian insulinresistance (may be this is what they call pcos one of the important factor for not ovulating ),semen analysis... and of course they did not tell me reason for infertility(i know there will be some unknown reason) but atleast i am happy that they did all these common test that my OBGYN did not do.

My OBGYN office has not done an HSG, and I'm on my fifth round of clomid. However, I think I'm okay because I've been pregnant three times, two live births (lost the first baby, DD 3.5) and one BFP last year on the clomid but had a m/c. So I'm assuming they didn't do an HSG on me because I've been able to get pregnant. But for anyone else who has never had a BFP, I would definitely ask for an HSG.

Report This| Share this:didnt ovulateMy OBGYN office has not done an HSG, and I'm on my fifth round of clomid. However, I think I'm okay because I've been pregnant three times, two live births (lost the first baby, DD 3.5) and one BFP last year on the clomid but had a m/c. So I'm assuming they didn't do an HSG on me because I've been able to get pregnant. But for anyone else who has never had a BFP, I would definitely ask for an HSG.

My OBGYN didn't do the HSG until we'd tried 3 cycles of clomid. His approach was let's try the cheap and easy answer and if it doesn't work we'll dig a little further. After 3 cycles of clomid he ordered the HSG and SA, then with those fine passed us along to an RE.

I agree with Mara that if you aren't happy with your OBGYN now it's time to look for a new one. You and your baby are in their hands and I credit mine with saving my baby for realizing something was wrong that was over his head and passing me on to specialists that found the problem and delivered her immediately. A few more days and we could have had a very different outcome.

I am not a patient person either, but I kept saying that our IF journey was supposed to teach me patience. Good luck! You'll get there and it will be awesome!

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Report This| Share this:didnt ovulateMy OBGYN didn't do the HSG until we'd tried 3 cycles of clomid. His approach was let's try the cheap and easy answer and if it doesn't work we'll dig a little further. After 3 cycles of clomid he ordered the HSG and SA, then with those fine passed us along to an RE.

I agree with Mara that if you aren't happy with your OBGYN now it's time to look for a new one. You and your baby are in their hands and I credit mine with saving my baby for realizing something was wrong that was over his head and passing me on to specialists that found the problem and delivered her immediately. A few more days and we could have had a very different outcome.

I am not a patient person either, but I kept saying that our IF journey was supposed to teach me patience. Good luck! You'll get there and it will be awesome!

Patience seems to be a virtue that many of us lack, but it seems as though we need to have it in abundance throughout this journey. You're right, though, you're probably just getting started. Nine months of TTC, though it may seem like a lifetime, is nothing at all in the medical world. It took me 2 years and 3 months to finally get my BFP, only to lose that pregnancy at 5-6 weeks. It's a long, emotional and HARD road. The best thing you can do is find some coping mechanisms.

I try to stay busy; the busier the better. At first, my time was consumed by taking classes for my Masters degree. I completed that in March. We're in the process of adopting our nephew, so he definitely is an investment as far as time is concerned. He's a big distraction for me. I'm also taking a sewing class this month, and I've signed up for a cake decorating class next month. I know, sounds domestic, huh? I'm an advisor for a service based youth organization as well. I find the more I do, the less I think, the less I think, the less depressed I am and the more I can try to have a "normal" life while I wait for my little one to be conceived. Venting helps, too. You ladies are awesome and have been a tremendous help for my sanity.

Me 23, DH 25, TTC 2 years,BFP 10/4, MC 10/8, waiting to try again

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Report This| Share this:didnt ovulatePatience seems to be a virtue that many of us lack, but it seems as though we need to have it in abundance throughout this journey. You're right, though, you're probably just getting started. Nine months of TTC, though it may seem like a lifetime, is nothing at all in the medical world. It took me 2 years and 3 months to finally get my BFP, only to lose that pregnancy at 5-6 weeks. It's a long, emotional and HARD road. The best thing you can do is find some coping mechanisms.

I try to stay busy; the busier the better. At first, my time was consumed by taking classes for my Masters degree. I completed that in March. We're in the process of adopting our nephew, so he definitely is an investment as far as time is concerned. He's a big distraction for me. I'm also taking a sewing class this month, and I've signed up for a cake decorating class next month. I know, sounds domestic, huh? I'm an advisor for a service based youth organization as well. I find the more I do, the less I think, the less I think, the less depressed I am and the more I can try to have a "normal" life while I wait for my little one to be conceived. Venting helps, too. You ladies are awesome and have been a tremendous help for my sanity.

I went to a OB but i feel i was getting the attention i needed so i found a RE close to my work/home. I love him and i feel way more positive something will happen with him watching me like a hawk. you will have good days and bad days with an ob or a RE and you will have your ups and downs. Either way nothing was covered with my insurance, so I found a doctor that was willing to work with me. like he stops charging after the 3rd ultrasound in one cycle and he bills you for his work you dont have to pay right when the procedure is done exept for the medication, which those are sometimes covered by insurance. you just have to find what works for you and help you and your DH positive.

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Report This| Share this:didnt ovulateI went to a OB but i feel i was getting the attention i needed so i found a RE close to my work/home. I love him and i feel way more positive something will happen with him watching me like a hawk. you will have good days and bad days with an ob or a RE and you will have your ups and downs. Either way nothing was covered with my insurance, so I found a doctor that was willing to work with me. like he stops charging after the 3rd ultrasound in one cycle and he bills you for his work you dont have to pay right when the procedure is done exept for the medication, which those are sometimes covered by insurance. you just have to find what works for you and help you and your DH positive.

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